在1月份进行的对526名护士的调查中，其中一半数目的人表示他们曾由于医院医疗设备的协调缺乏见到过一次医疗失误。这些包括从输液泵到呼吸机、血氧仪、血压计以及电子健康记录。

 

报告指出，尽管大部分宣传都与此相反，很少有医院连接医疗设备，甚至没有致力于连接它们。来自数据信息和管理系统协会的数据中发现，只有三分之一的医院将医疗设备直接连接到电子健康记录，而这些机构实际上也只有少于三个医疗设备是连接的。但例如平均6到10台医疗设备是典型的用于重症监护病人。

 

如果这些设备已连接，60%的护士认为医疗失误能被显著降低。如今，护士通常从一个医疗设备到另一个医疗设备都是手工抄写数据。调查中一名护士说："我曾见过很多次手抄错误，比如数字被直接抄错或者写反，或者写串行。"几乎一半的护士表示当手工抄写时这种错误是非常容易发生的。

 

西方卫生研究所估计，连接医疗设备能够每年节省超过300亿美元，主要在减少冗余测试、手动数据输入和抄写错误。

 

对于护士而言，抄写医疗设备的数据是工作中非常无聊的方面之一；四分之三的人形容该项工作非常累并且使他们照顾病人时分心。来自贝斯以色列女执事医疗中心西尔弗曼研究所的病人安全高级主管Patricia Folcarelli在一份声明中说，"护士进入这一专业领域是因为他们想照顾病人，而不是因为他们多这些程序仪器感兴趣。""在一个重症监护室多达10台设备可能同时监护一个病人。"Folcarelli补充道，"护士不仅要设置和控制仪器，由于设备不能共享信息他们还要花大量的时间手抄数据。"

 

英文原文报道：

 

Survey: Lack of device connectivity leads to medical errors and $30B+ annual cost

 

The transcription of medical data from devices by nurses is a common source of medical errors that costs the U.S. healthcare system upward of $30 billion. That's according to a survey and other data assembled by a nonprofit medical research organization, the West Health Institute.

 

In a January survey of 526 nurses, half of them said they had witnessed a medical error resulting from the lack of medical device coordination in hospitals. These include everything from infusion pumps to ventilators, pulse oximeters, blood pressure cuffs and electronic health records.

 

Despite much hype to the contrary, few hospitals have connected medical devices and even those that do haven't committed to linking them across the board. Only one-third of hospitals link medical devices directly to electronic health records--and at these institutions fewer than three medical devices actually connect, the report notes, citing data from the Healthcare Information and Management Systems Society. But an average of about 6 to 10 medical devices are typical for an intensive care unit patient, for example. If these devices were connected, 60% of the nurses said they thought medical errors could be significantly reduced. Now, nurses typically manually transcribe data from one medical device to another.

 

"I have seen many instances where numbers were incorrectly transcribed or put in reverse or put in the wrong column when typed manually, which can cause errors," said one nurse who participated in the survey. Almost half of the nurses said that an error is extremely or very likely to occur when data is being transferred by hand.

 

The West Institute estimates that connected devices could save more than $30 billion a year in reduced redundant tests, manual data entry and transcription errors.

 

For nurses, transcribing medical device data is one of the more tedious aspects of the job; three-quarters of them described the activity as burdensome and three-quarters said that it distracts them from providing patient care.

 

"Nurses enter the profession because they want to care for patients, not because they are interested in programming machines," Patricia Folcarelli, senior director of Patient Safety at the Silverman Institute for Health Care Quality and Safety at Beth Israel Deaconess Medical Center, said in a statement

 

"As many as 10 devices may monitor or treat a single patient in an intensive care unit," Folcarelli added. "The nurse not only has to program and monitor the machines, he or she often spends a significant amount of time transcribing data by hand because the devices are not designed to share information."